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The impact of heat inactivation on RT-per detection of severe acute respiratory syndrome corona virus 2 (SARS-CoV-2): an experience from the University Clinical Centre of Vojvodina, Serbia Cover

The impact of heat inactivation on RT-per detection of severe acute respiratory syndrome corona virus 2 (SARS-CoV-2): an experience from the University Clinical Centre of Vojvodina, Serbia

Open Access
|Dec 2025

Figures & Tables

Figure 1

Correlation between the RdRp gene Cq values in the control and heat-treated strongly positive (Cq≤33) sample batch
Correlation between the RdRp gene Cq values in the control and heat-treated strongly positive (Cq≤33) sample batch

Figure 2

Correlation between the N gene Cq values in the control and heat-treated strongly positive (Cq≤33) sample batch
Correlation between the N gene Cq values in the control and heat-treated strongly positive (Cq≤33) sample batch

Figure 3

Correlation between the E gene Cq values in the control and heat-treated strongly positive (Cq≤33) sample batch
Correlation between the E gene Cq values in the control and heat-treated strongly positive (Cq≤33) sample batch

Figure 4

Correlation between the human RNase P gene Cq values in the control and heat-treated positive sample batch
Correlation between the human RNase P gene Cq values in the control and heat-treated positive sample batch

Mismatching RT-qPCR results for control and heat-treated SARS-CoV-2-positive samples

Sample IDUntreated sample result (Cq value)Heat-treated sample result (Cq value)
RdRp geneN geneE geneRdRp geneN geneE gene
S 018Positive (39.37)Positive (32.86)Positive (35.50)NegativePositive (33.47)Negative
S 023Positive (38.29)Positive (33.25)Positive (38.73)NegativePositive (32.09)Positive (33.53)
S 024NegativePositive (36.13)NegativeNegativePositive (32.78)Positive (34.97)
S 028Positive (39.76)Positive (34.92)NegativeNegativeNegativeNegative
S 033NegativePositive (32.93)Positive (38.15)Positive (38.00)Positive (31.29)Positive (32.69)
S 055Positive (39.28)Positive (32.96)Positive (35.05)NegativePositive (33.74)Negative
S 056Positive (39.44)Positive (33.78)Positive (36.06)NegativePositive (31.71)Positive (34.04)
S 060Positive (39.56)Positive (33.54)Positive (38.39)NegativePositive (32.35)Positive (33.90)
S 061Positive (39.87)Positive (34.29)NegativeNegativePositive (32.17)Positive (34.65)
S 065NegativePositive (40.0)Positive (36.29)NegativePositive (40.0)Negative
S 068Positive (38.71)Positive (39.44)NegativeNegativePositive (38.16)Negative
S 070NegativePositive (32.26)Positive (38.52)Positive (37.96)Positive (31.93)Positive (32.91)
S 092Positive (39.63)Positive (32.63)Positive (35.96)NegativePositive (33.43)Negative
S 096Positive (38.59)Positive (33.73)Positive (38.54)NegativePositive (32.35)Positive (33.90)
S 098NegativePositive (36.29)NegativeNegativePositive (32.65)Positive (34.77)
S 102Positive (39.92)Positive (34.18)NegativeNegativePositive (40.0)Negative
S 107NegativePositive (32.52)Positive (38.26)Positive (37.15)Positive (31.96)Positive (32.70)

Paired comparison of mean Cq values between the control and heat-treated SARS-CoV-2-positive samples

Mean Cq value (95 % CI)Paired t-test differences
Mean difference (95 % CI)p-value*
human RNase P gene (control batch) (n=111)27.50 (27.12–27.88)0.653 (0.31–0.99)<0.001
human RNase P gene (heat-treated batch) (n=110)28.16 (27.66–28.65)
RdRp gene (control batch) (n=40)31.19 (29.88–32.50)–1.04 (−2.17–0.27)0.011
RdRp gene (heat-treated batch) (n=41)30.15 (28.76–31.54)
N gene (control batch) (n=67)31.02 (29.90–32.14)0.61 (0.33–0.88)<0.001
N gene (heat-treated batch) (n=60)31.22 (30.24–32.19)
E gene (control batch) (n=40)28.93 (27.57–30.29)–0.65 (−0.15–1.14)0.010
E gene (heat-treated batch) (n=41)28.29 (27.16–29.42)
Weakly positive samples (Cq>33) (n=252)
RdRp gene (control batch) (n=47)34.70 (34.09–35.31)0.11 (−0.60–0.83)0.751
RdRp gene (heat-treated batch) (n=47)34.82 (33.91–35.73)
N gene (control batch) (n=44)34.44 (34.00–34.88)0.15 (−0.44–0.75)0.612
N gene (heat-treated batch) (n=50)34.59 (33.93–35.25)
E gene control batch) (n=38)34.95 (34.32–35.58)–0.93 (−1.73–0.14)0.020
E gene (heat-treated batch) (n=26)34.02 (33.39–34.65)

Proportion of detected target genes in SARS-CoV-2-positive control and heat-treated samples

Groups (batches)RdRp gene, N gene, and E gene positive n (%)RdRp gene and N gene positive n (%)N gene and E gene positive n (%)N gene positive n (%)
Control66 (59.46)18 (16.22)12 (10.81)15 (13.51)
Heat-treated63 (57.27)25 (22.73)4 (3.64)18 (16.36)
DOI: https://doi.org/10.2478/aiht-2025-76-3973 | Journal eISSN: 1848-6312 | Journal ISSN: 0004-1254
Language: English, Croatian, Slovenian
Page range: 242 - 250
Submitted on: Mar 1, 2025
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Accepted on: Oct 1, 2025
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Published on: Dec 30, 2025
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2025 Jelena Stojčević Maletić, Iva Barjaktarović, Ljiljana Andrijević, Katarina Bačulov, Slobodanka Bogdanović Vasić, Diandra Pintać Šarac, published by Institute for Medical Research and Occupational Health
This work is licensed under the Creative Commons Attribution 4.0 License.